We think you have liked this presentation. If you wish to download it, please recommend it to your friends in any social system. Share buttons are a little bit lower. Thank you!
Presentation is loading. Please wait.
supports HTML5 video
Published byEdward Gibbs
Modified over 4 years ago
PEPTIC ULCER DISEASE NRS452 Norhaini Majid
Introduction PUD ,a break in a mucous lining of GI tractDuodenal - most common, age Gastric Ulcer – affect older age
Risk Factors H.pylori infection – how? Use of NSAIDs Cigarette smokingFamily history of PUD Other possible risks – physiological stress, alcohol /caffeine consumption
Pathophysiology Normal gastric mucosa Disruption of mucosal barrierInflammatory process Erosion and ulcer formation Refer page , Med/Surg Nsg
Manifestation of PUD Classic symptom? Typically described as …….Occurs Stomach 3 – 4 hours after meal midnight
Manifestation of PUD (cont…)Heartburn Vomit Older adult Chest pain Dysphagia Weight loss Anemia
Manifestation of PUD complicationsHemorrhage Obstruction Perforation
Hemorrhage Occult blood in stool Hematemesis FatigueWeakness, dizziness Orthostatic hypotension Hypovolemic shock
Obstruction Sensations of epigastric fullness Nausea & vomitingElectrolyte imbalances Metabolic alkalosis
Perforation Severe upper abdominal pain – shoulderRigid, boardlike abdomen Absence of bowel sounds Diaphoresis Tachycardia Rapid, shallow respiration Fever
Zollinger-Ellison SyndromePUD cause by gastrinoma or gastrin-secreting tumor (pancreas, stomach, or intestine Gastrin ? Affect stomach, duodenum, esophagus and jejunum
Zollinger-Ellison Syndrome CharacteristicUlcer-like pain Diarrhea Steatorrhea
Zollinger-Ellison Syndrome ComplicationPerforation Bleeding Fluid & electrolyte imbalances
Diagnostic Tests Barium Swallow Gastroscopy Biopsy Serologic testUrea breath test Zollinger-Ellison Syndrome Gastric Analysis
Medications Combination therapyTwo antibiotics + proton pump inhibitors (e.g omeperazole, metronidazole and clarithromycin)
Treatments Dietary mx Surgery Rx of complications
Treatment of Peptic Ulcer DiseaseGoals of Treatment Relieve pain Prevent complications (bleeding, perforation, penetration, obstruction) Minimize recurrences Reduce financial costs
Nursing Care? Student ActivityIdentify nursing problem and solve it using nursing process approach Discuss
Management of Patients With Gastric and Duodenal Disorders
Nursing Care of Patients WithUpper GI Disturbances
Peptic Ulcer Disease Dr Maha Arafah. Objectives Upon completion of this lecture the students will : A] Understand the Pathophysiology of acute and chronic.
1 Chapter 8 Drugs for Gastrointestinal Disorders.
Peptic ulcer disease.
DYSPEPSIA Dr.Vishal Rathore. Dyspepsia popularly known as indigestion meaning hard or difficult digestion, is a medical condition characterized by chronic.
Peptic ulcer disease Hannah Vawda FY1.
Peptic Ulcer & its Complications Prof. Dr. Faisal Ghani Siddiqui FCPS; MCPS-HPE; PGDip-bioethics.
Peptic Ulcer Disease Biol E /11/06. From: Current Diagnosis & Treatment in Gastroenterology - 2nd Ed. (2003)
PEPTIC ULCER disease (PUD) Dr. Gehan Mohamed Dr. Abdelaty Shawky.
Gastric and Duodenal Ulcer Dr. Belal M. Hijji, PhD, RN April 30 & May 04, 2011.
Peptic Ulcer By: Allicia Kwakye Miss Tran TPJ-3MO.
Adult Medical-Surgical Nursing
PEPTIC ULCER DISEASE Dr RAMBABU POPURI MD MD Asst. Professor Dept of General medicine Dept of General medicine.
Copyright (c) The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 23 Abdominal and Gastrointestinal Disorders.
PEPTIC ULCER DISEASE BERNARD M. Jaffe, MD Professor of Surgery Emeritus.
D YSPEPSIA & P EPTIC U LCER By Dr. Zahoor 1. D YSPEPSIA What is Dyspepsia ? Dyspepsia is used to describe number of upper abdominal symptoms such as.
Definition it is a excavation (hallow-out area) that forms in the mucosal wall of the stomach, duodenum or esophagus.
Care of Patient with GERD & Peptic Ulcer
© 2019 SlidePlayer.com Inc. All rights reserved.